성관계 경험이 있는 여자 청소년의 피임 실천 추이와 영향 요인: 2013-2022년
Trends in Contraceptive Use and Influencing Factors Among Korean Adolescent Girls With Sexual Intercourse Experience (2013 to 2022)
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초록
Purpose: This study aimed to identify trends in contraceptive use and methods, as well as the influencing factors among Korean adolescent girls with sexual intercourse experience. Methods: Secondary data analysis was performed using data from the 2013−2022 Youth Health Behavior Online Survey. Participants were 9,562 adolescent girls who had experienced sexual intercourse in middle and high schools in Korea. Descriptive statistics, the chi-square test, the Cochran-Armitage trend test, and logistic regression were used for data analysis. Results: The reported prevalence of consistent contraceptive use during sexual intercourse significantly increased from 27.0% in 2013 to 46.1% in 2022 (p<0.01). The rate of modern contraceptive use increased from 79.4% in 2013 to 84.8% in 2022 (p for trend <0.01). Factors influencing contraceptive use included age, school type by sex, academic performance, economic status, residential type, lifetime smoking, and sexual education. Factors influencing modern contraceptive use included school type by sex, economic status, residential type, and lifetime smoking. Conclusion: The results of this study indicate that more than half of the adolescent girls with sexual experience do not consistently use contraception, and some of them use unreliable contraceptive methods. Efforts are needed to improve modern contraceptive use among adolescent girls.
Abstract
Purpose: This study aimed to identify trends in contraceptive use and methods, as well as the influencing factors among Korean adolescent girls with sexual intercourse experience. Methods: Secondary data analysis was performed using data from the 2013−2022 Youth Health Behavior Online Survey. Participants were 9,562 adolescent girls who had experienced sexual intercourse in middle and high schools in Korea. Descriptive statistics, the chi-square test, the Cochran-Armitage trend test, and logistic regression were used for data analysis. Results: The reported prevalence of consistent contraceptive use during sexual intercourse significantly increased from 27.0% in 2013 to 46.1% in 2022 (p<0.01). The rate of modern contraceptive use increased from 79.4% in 2013 to 84.8% in 2022 (p for trend <0.01). Factors influencing contraceptive use included age, school type by sex, academic performance, economic status, residential type, lifetime smoking, and sexual education. Factors influencing modern contraceptive use included school type by sex, economic status, residential type, and lifetime smoking. Conclusion: The results of this study indicate that more than half of the adolescent girls with sexual experience do not consistently use contraception, and some of them use unreliable contraceptive methods. Efforts are needed to improve modern contraceptive use among adolescent girls.
참고문헌 (34)
- Admassu M, "Factors affecting contraceptive use in Ethiopian : a generalized linear mixed effect model", Ethiop J Health Sci, 31, pp.457~466 (2021)
- Boo YJ, "Factors related to adolescents’ sexual experience", J Korean Soc Sch Health, 30, pp.154~163 (2017)
- Cha YE, "Effects of sex education on contraceptive use among sexually experienced teens in South Korea", J Korean Soc Health Educ Promot, 40, pp.49~56 (2023)
- Chinsembi KC, "Sexually transmitted infections in adolescents", Open Inf Dis J, 3, pp.107~117 (2009)
- Cho YH, "Contraceptive practice and influencing factors of adolescents", Korean J Korean Soc Health Educ Promot, 31, pp.59~70 (2014)
- Connery HS, "Adolescent substance use and unplanned pregnancy : strategies for risk reduction", Obstet Gynecol Clin North Am, 41, pp.191~203 (2014)
- Hutchinson MK, "The influence of sexual risk communication between parents and daughters on sexual risk behaviors", Family Relations, 51, pp.238~247 (2002)
- Im MY, "Factors related to sexual intercourse and contraceptive practice among middle school students : using data from the 14th(2018)Korea Youth Risk Behavior Survey", J Korean Soc Living Environ Sys, 29, pp.666~678 (2022)
- Jang I, "Trends in sexual intercourse, sex education experience, and contraception among adolescents in Korea : based on Korea Youth Risk Behavior Web-based Survey from 2006 to 2019", J Korean Soc Sch Health, 33, pp.79~88 (2020)
- Jun J, "Contraceptive use among Korean women", Health Welf Policy Forum, 7, pp.28~39 (2023)
- Kann L, "Youth risk behavior surveillance-United States, 2013", MMWR Suppl, 63, pp.1~168 (2014)
- Kavanaugh ML, "Contraceptive method use in the United States : trends and characteristics between 2008, 2012 and 2014", Contraception, 97, pp.14~21 (2018)
- Kim E, "Study about the experience of the sex education and the perception of the contraceptive pill of the female adolescent", J Korea Bioethics Assoc, 17, pp.53~74 (2016)
- Kim HS, "Effects of sexual intercourse on suicidal behaviors among adolescents in South Korea", J Korean Acad Nurs, 45, pp.183~191 (2015)
- Kim MY, "Affecting factors of contraception use among Korean male adolescents : Focused on alcohol, illicit drug, internet use, and sex education", Korean J Stress Res, 20, pp.267~277 (2012)
- Lee G, "Sexual behaviors and sexual experience of adolescents in Korea", J Korea Academia-Industrial Cooperation Soc, 17, pp.71~80 (2016)
- Lee HJ, "Rates and methods of contraception among Korean adolescents from 2007 to 2009", Korean J Women Health Nurs, 17, pp.148~156 (2011)
- Lee HN, "A convergence study on difference of health behaviors depending on wether sexual experiences of adolescents", J Korea Converg Soc, 11, pp.145~152 (2020)
- Lee IS, "A survey on the sexual behavior of adolescents in South Korea : the third survey in 2007", Obstet Gynecol Sci, 53, pp.512~519 (2010)
- Lee J, "Factors affecting contraceptive use among adolescent girls in South Korea", Child Health Nurs Res, 23, pp.259~267 (2017)
- Lee YH, "Exploratory study on developing a support policy for adolescent parents : focusing on single mothers who become pregnant for the first time as teenage years", J Fam Res Manag Policy Rev, 25, pp.113~132 (2021)
- Lim SH, "Recent trends in contraceptive use among Korean adolescents : Results from a nation-wide survey from year 2013 to 2015", Obstet Gynecol Sci, 59, pp.519~524 (2016)
- Lindberg LD, "Trends in US adolescent sexual behavior and contraceptive use, 2006-2019", Contraception X, 3, pp.100064~ (2021)
- "The 18th Korean youth risk behavior survey, 2022" (2023)[URL]
- Morrison DM, "Adolescent drinking and sex : findings from a daily diary study", Perspect Sex Reprod Health, 35, pp.162~168 (2003)
- Women's health research for sexual and reproductive health, "Park E", Korea Institute for Health and Affairs, ~ (2022)
- Park S, "Influence of sexual behavior and emotional state on suicidal ideation among female adolescents with sexual intercourse experience", J Korean Acad Psychiatr Ment Health Nurs, 27, pp.15~27 (2018)
- Pyo E, "Effects of drinking, smoking and drug use experience on adolescents’ sexual intercourse : Using the data of the Korea youth risk behavior web-based survey from 2010 to 2014", J Korean Soc Sch Health, 29, pp.299~309 (2016)
- Son Y, "Sexual behavior of adolescents in multicultural families : an analysis using data from the 15th Korea Youth Risk Behavior Survey", J Industrial Converg, 18, pp.73~82 (2020)
- "2022 Infant, maternal and perinatal mortality statistics"[URL]
- Swain CR, "The influence of individual characteristics and contraceptive beliefs on parent-teen sexual communications : a structural model", J Adolesc Health, 38, pp.753~ (2006)
- Szucs LE, "Condom and contraceptive use among sexually active high school students-Youth Risk Behavior Survey, United States, 2019", MMWR Suppl, 69, pp.11~18 (2020)
- Todd N, "Contraception for adolescents", J Clin Res Pediatr Endocrinol, 12, pp.28~40 (2020)
- "World family planning 2022: meeting the changing needs for family planning: contraceptive use by age and method"[URL]